RequesttoInspectandReview
EducationRecordsForm
NewburghCampus
1WashingtonCenter,Newburgh,NY12550
MiddletownCampus
115SouthStreet,Middletown,NY10940
**For Office Use Only**
Date request was received: ______________
Date student reviewed records: ___________
Initial of person attending review: __________
The Family Educational Rights and Privacy Act of 1974 (FERPA), as amended, is a federal law
that protects the privacy of student education records. Under the provisions of the law students
are given the opportunity to inspect and review their records except in the following:
The financial records of the student’s parents.
Confidential letters and statements of recommendation which were placed in the
college’s records prior to January 1, 1975.
Confidential letters and statements of recommendation placed in the student’s education
records after January 1, 1975, respecting admission to the college, application for
employment, or receipt of an honor or honorary recognition
Records that personally identify other students even if the student also is personally
identified. In such a case, the student shall simply be informed of the specific information
about the student that is contained in the record
Documents that are not considered education records as defined by FERPA
SUNY Orange is required to comply with a request to inspect and review education record not
more than 45 days after the request is received. A student should submit this written request to
the Registrar. The Registrar will make arrangements for access and notify the student of time and
place where the records may be inspected.
If, after inspecting and reviewing his/her record, the student has questions about the records,
he/she may request an oral or written explanation of them.
Student Name (print) __________________________________________________________
Address: ____________________________________________________________________
Telephone #: _________________________________________________________________
Student A Number: A00________________________________________________________
I wish to inspect the following educational record(s): ________________________________
____________________________________________________________________________
Student Signature: ______________________________________Date: __________________
Submit this form to the Registrar’s Office located: 115 South Street, 3rd Floor Shepard Student
Center, Middletown, NY 10940
A student shall be provided with a copy of any part or all of his or her education record on
request but may be charged a fee not to exceed the college’s cost of producing a copy of the
education record as a condition to receiving it, unless the imposition of a fee effectively prevents
a student from exercising the right to inspect and review the record. A student shall not be
charged a fee to search for or retrieve the student’s education records.
